Healthcare Documentation Specialist Course Outline

Unit One – Introduction to Healthcare Documentation

Lessons

  1. The World of Health Care
  2. Medical Insurance 101
  3. Ethics and Legal Issues
  4. Medical Records
  5. Introduction to Medical Terminology
  6. Dividing and Combining Medical Terms
  7. Medical Abbreviations, Symbols and Special Terms
  8. Body Systems
  9. Resources for the Healthcare Professional
  10. The Future of Healthcare

Also included in Unit One:

  • Flashcards and Audio
  • Student Assistance Form
  • Bantam Medical Dictionary
  • Padfolio
  • School Catalog
  • Bookmark Magnet

Unit Two – Medical Billing

Lessons

  1. Introduction to Medical Coding
  2. Private Insurance and Managed Care
  3. Medicaid, CHIP and Medicare
  4. Military Insurance, Workers’ Compensation and COBRA
  5. Determining Payment
  6. Introducing the CMS-1500 Claim Form
  7. Explanation of Benefits
  8. Secondary Claims
  9. The UB-04 Claim Form
  10. Insurance Follow-up and Preparing the CMS-1500
  11. Medical Billing Technology

Also included in Unit Two:

  • MedLook 4.0 Tutorial for ICD-10
  • Claim Forms
  • Human Anatomy Flashcards

Unit Three – Medical Coding I

Lessons

  1. Introduction to Anatomy
  2. Anatomy: Landmarks and Divisions
  3. Cell and Tissue Anatomy and Pathology
  4. Introduction to ICD-10-CM and Chapter 1
  5. ICD-10-CM Chapters 2 through 5
  6. ICD-10-CM Chapters 6 through 10
  7. ICD-10-CM Chapters 11, 12 and 13
  8. ICD-10-CM Chapters 14 through 17
  9. ICD-10-CM Chapters 18 and 19
  10. ICD-10-CM Chapters 20 and 21

Also included in Unit Three:

  • ICD-10-CM Coding Manual

Unit Four – Medical Coding II

Lessons

  1. CPT Coding 101
  2. Surgical Coding, Part 1
  3. Surgical Coding, Part 2
  4. Radiology, Pathology, Anesthesia and Medicine
  5. Integrating Diagnostic and Procedural Codes
  6. Evaluation and Management Services
  7. Comprehensive Evaluation and Management
  8. The Basics of HCPCS Coding and Final Coding Quiz

Also included in Unit Four:

  • E/M Audit
  • Anatomy and Physiology Textbook
  • CPT Manual

Unit Five – Medical Transcription and Editing

Lessons

  1. Introduction to Medical Transcription and Editing
  2. Terminology for Medical Transcription
  3. Transcribing Skills and Tools
  4. Integumentary System
  5. Neurological System
  6. Musculoskeletal System
  7. Cardiovascular, Immune and Respiratory Systems
  8. Gastrointestinal and Genitourinary Systems
  9. Endocrine System
  10. Operative Reports
  11. Speech Recognition Editing

Also included in Unit Five:

  • Healthcare Documentation Professional Career Starter Guide
  • Transcription Reference Guide
  • Professional Foot Pedal
  • Express Scribe Supplement
  • MedLook software – graduation gift